Reviewed the same day by Texas-licensed clinicians

Specialist referral online in Texas

No primary care doctor, or can't get in soon? A Passion Health clinician reviews your problem online and, if a specialist is the right next step, writes the referral and sends it to the specialist's office.

Insurance or a flat cash priceYour pharmacy, your choiceIn-person care if needed: our DFW clinics, or near you
Online evaluation
Same-day review24/7 weekdays · 7 AM–9 PM CT weekends
Short answer

Can I get a specialist referral online in Texas?

Yes, for adults 18 and older in Texas. No primary care doctor, or can't get in soon? A Passion Health clinician reviews your problem online and, if a specialist is the right next step, writes the referral and sends it to the specialist's office. Review is by a Texas-licensed Passion Health clinician, 24/7 on weekdays and 7 AM–9 PM CT on weekends. The flat price is $59, or use insurance. A prescription goes to the pharmacy you choose only if it's appropriate; controlled medicines are never prescribed online. If you have symptoms that are getting worse quickly, or you feel very unwell, you need to be seen in person today instead (at our Dallas–Fort Worth clinics, or urgent care near you), and you don't pay the online fee.

Medically reviewed by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health · October 22, 2026

Price
$59 flat cash rate or insurance
Visit type
Online evaluation
Reviewed by
A Texas-licensed Passion Health physician, nurse practitioner or physician assistant
Turnaround
Same day · 24/7 weekdays, 7 AM–9 PM CT weekends
Insurance
BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana, Healthcare Highways
Prescriptions
Only if appropriate, sent to your pharmacy · never controlled medicines online
About the condition

What to know about specialist referral

A specialist referral is a written request from a clinician asking a specialist, such as a dermatologist, cardiologist or orthopedic surgeon, to see you. Many HMO and POS plans pay for a specialist visit only with a referral from your primary care provider, and some specialist offices ask for one whatever your plan. A clinician first has to evaluate your problem; a referral can't be bought without that review.

Before you start

Is online care right for you?

A good fit for online care

  • Your plan, or the specialist's office, has told you that you need a referral
  • You don't have a primary care doctor, or yours can't see you soon
  • You know what the problem is and have a specialty or a specialist in mind, or you'd like a clinician to tell you which one
  • Your problem is not getting worse fast and doesn't need care today

Book an in-person visit instead if

  • Symptoms that are getting worse quickly, or you feel very unwell Same day
  • A new lump in your breast, testicle or neck Within days
  • Blood in your stool or urine, or weight loss you can't explain Within days
  • An injury in the last few days that might be a broken bone Same day
  • Your specialist appointment is for an injury at work covered by workers' compensation Within days

Not near one of our clinics? Online Care is open to adults anywhere in Texas; our clinics are in Dallas–Fort Worth. If the safety questions or your clinician show you need to be examined, we tell you what kind of care you need and how soon — an emergency room, an urgent care center, or a clinician near you. If you've already paid, the full fee is refunded and you get a written summary of your visit to take with you.

Call 911 or go to the ER now if you have

Emergency room now

  • Severe pain, heavy bleeding, or a high fever and you feel very unwell

Also call 911 for chest pain, trouble breathing, stroke signs, a sudden severe headache, fainting, a seizure, severe bleeding, new confusion, throat swelling, an overdose or thoughts of harming someone else — and call or text 988 for thoughts of harming yourself. If screening routes you before you pay, nothing is charged. If a clinician routes you after you've paid, the full fee is refunded.

How it works

How your specialist referral visit works

  1. 1
    Answer the specialist referral intake

    About 5 minutes, with photos if they help. Emergency and safety questions come first.

  2. 2
    A clinician reviews it the same day

    A Texas-licensed Passion Health clinician reads everything and calls or videos you if they need more.

  3. 3
    You get a plan

    If treatment is appropriate, a prescription goes to the pharmacy you choose.

  4. 4
    Follow-up is built in

    A 48-hour check-in and secure messaging. If you need to be seen, a same-day visit at our Dallas–Fort Worth clinics, or clear advice on where to go near you.

Your care

What to expect from your clinician

What your clinician may consider

  • A review of your problem, your history, your medicines and any records or results you upload
  • Whether a specialist is the right next step, and which kind, or whether we can treat you ourselves
  • A referral letter with your history, current treatment and the question for the specialist
  • The referral sent to the specialist's office you choose, with a copy for you
  • An in-person exam or tests first, if the specialist or your plan needs them (billed separately)

Shown so you know what to expect. The reviewing clinician decides what, if anything, is appropriate for you — a prescription is never guaranteed, and controlled medicines are never prescribed online.

Labs, tests and Passion Health services

  • If a specialist is the right next step, your clinician writes the referral and our team sends it to the specialist's office you choose. You schedule the visit with that office.
Price & insurance

How much does an online specialist referral visit cost?

Quick evaluation
$59
  • A Texas-licensed clinician reviews your intake
  • A care plan, and a prescription if appropriate
  • 48-hour check-in
  • 14 days of secure messaging

Using insurance: we're in network with BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana and Healthcare Highways, and we verify eligibility for every plan before review — you see your estimated cost-share first. New patients have a short video visit, because plans pay for a visit, not a form. Same-day review applies to self-pay visits; insurance visits begin once we've verified your plan, which is the next business morning if you submit overnight or on a weekend. Medicare, Medicaid, CHIP and TRICARE are billed to the program, and the cash rate isn't offered for covered services.

Full refund if your case isn't accepted: if the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card within 10 business days, and we help you get the care you need: a same-day visit at one of our Dallas–Fort Worth clinics or, if you're not near one, clear advice on where to be seen and a written summary of your visit. With insurance, no claim is submitted for the online review. Paying the flat price yourself? You can ask for a written Good Faith Estimate before your visit.

Labs and imaging, if needed, are billed separately, and medication is paid at your pharmacy. Passion Health doesn't sell, ship or mark up medication.

Follow-up

A 48-hour check-in message and 14 days of secure messaging. If you're not improving, we book a same-day clinic visit, or, if you're not near one of our clinics, tell you where to be seen near you.

Your clinician messages you with the plan. If a referral is sent, we tell you when it went out and to which office. If the specialist's office needs more records or a form, message us and we'll send them.

Questions

Questions about specialist referral care

How much does an online specialist referral visit cost?

The flat cash rate is $59 for a quick evaluation, or use your insurance and pay your plan's cost-share — we show you an estimate before review starts. Medication is paid at your pharmacy. If the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card.

Will I talk to someone, or is it just a form?

A Texas-licensed Passion Health clinician reviews every intake and decides your plan — not software. For specialist referral, Texas law lets the clinician evaluate you from a condition-specific intake plus your photos and records, and they'll call or video you whenever something needs a conversation. New patients using insurance have a short video visit, because plans pay for a visit, not a form.

Is a prescription guaranteed?

No. You're paying for a licensed clinician's evaluation and plan. Many visits end with a prescription; some end with a different plan, a test, or a referral. Controlled medicines — stimulants, benzodiazepines, opioids, testosterone, sleep aids like zolpidem — are never prescribed at an online visit.

Do I need a referral to see a specialist?

It depends on your plan. HMO and POS plans usually pay for a specialist visit only with a referral from your primary care provider. PPO and EPO plans usually don't need one, and Original Medicare generally doesn't either, but Medicare Advantage HMO plans often do. Some specialist offices ask for a referral whatever your plan. Check your plan's member services number and the specialist's office before you book. If you're uninsured, the specialist's office sets its own rules, and you have the right to a Good Faith Estimate of the cost.

Can I get a referral without a primary care doctor?

Yes. A Texas-licensed Passion Health clinician evaluates your problem online, the same way they would for any visit. If a specialist is the right next step, they write the referral. You don't need to have seen us before.

Will my HMO accept a referral from Passion Health?

Only if a Passion Health clinician is your primary care provider with that plan. If your HMO needs that, staff tell you before review and explain how to choose Passion Health as your primary care provider, if we're in network with your plan. You can then go ahead, switch to the flat cash price, or cancel at no charge.

Is a referral guaranteed?

No. The clinician decides whether a specialist is the right next step. Sometimes we can treat the problem ourselves, or you need an exam or tests first. If the clinician doesn't accept your case for Online Care, you get a full refund. The specialist's office also decides whether to accept the referral and when to see you.

Do you book the specialist appointment?

We send the referral to the specialist's office you choose. You schedule the visit with that office, because they need your insurance details and your availability. If you don't have a specialist in mind, your clinician can suggest the kind of specialist to look for.

The Texas law behind this visit

A clinician may form a valid patient relationship online using store-and-forward technology — your condition-specific intake, photos and records — paired with a call or video when needed, as long as the in-person standard of care is met (Tex. Occ. Code §111.005(a)(3), §111.007). Your clinician gives you guidance on follow-up care and, with your consent, sends new patients' visit notes to their primary care physician within 72 hours (§111.005(b)).

Full Texas-law summary →

AC
Medical reviewer

Dr. Anantha Chentha, MD, FACP, CHCQM-PHY ADV

Chief Quality Medical Officer, Passion Health · Texas-licensed internal medicine physician

Reviewed October 22, 2026

Reviewed for medical accuracy by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health, on October 22, 2026. Pages are reviewed again when clinical guidance or our visit rules change, and the date shown here is updated each time.

Sources: CMS · HHS · Texas Medical Board

Not sure online care is right for you?

Book a same-day visit at a Passion Health clinic in Dallas–Fort Worth, or call and we'll point you to the right visit — or, elsewhere in Texas, to the right kind of care near you.

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